[Federal Register Volume 85, Number 9 (Tuesday, January 14, 2020)]
[Notices]
[Pages 2136-2137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-00426]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-588, CMS-855B and CMS-R-262]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (PRA), federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of 
information, including each proposed extension or reinstatement of an 
existing collection of information, and to allow a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by February 13, 2020.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR, Email: 
[email protected].
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. The term ``collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension or reinstatement of an existing collection of 
information, before submitting the collection to OMB for approval. To 
comply with this requirement, CMS is publishing this notice that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Extension of a currently

[[Page 2137]]

approved collection; Title of Information Collection: Electronic Funds 
Transfer Authorization Agreement; Use: Section 1815(a) of the Social 
Security Act provides the authority for the Secretary of Health and 
Human Services to pay providers/suppliers of Medicare services at such 
time or times as the Secretary determines appropriate (but no less 
frequently than monthly). Under Medicare, CMS, acting for the 
Secretary, contracts with Fiscal Intermediaries and Carriers to pay 
claims submitted by providers/suppliers who furnish services to 
Medicare beneficiaries. Under CMS' payment policy, Medicare providers/
suppliers have the option of receiving payments electronically. Form 
number CMS-588 authorizes the use of electronic fund transfers (EFTs). 
Form Number: CMS-588 (OMB control number: 0938-0626); Frequency: On 
occasion; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 100,000; Total Annual 
Responses: 100,000; Total Annual Hours: 100,000. (For questions 
regarding this collection contact Kim McPhillips at 410-786-5374.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Medicare Enrollment Application for Clinics/Group Practices and Other 
Suppliers Revision; Use: The primary function of the CMS-855B Medicare 
enrollment application for suppliers, also known as Health Diagnosing 
and Treating Practitioners, is to gather information from the supplier 
that tells CMS who the supplier is, whether the supplier meets certain 
qualifications to be a Medicare health care provider or supplier, where 
the supplier practices or renders services, and other information 
necessary to establish correct claims payments.
    The CMS-855B form includes an attachment for Opioid Treatment 
Programs (OTPs). This attachment is only used to capture the OTP 
personnel and consists of limited data fields (name, Social Security 
Number, National Provider Identifier, and license number) in response 
to the ``SUPPORT for Patients and Communities Act'' that was signed 
into law on October 24, 2018. This legislation was designed to 
alleviate the nationwide opioid crisis by: (1) Reducing the abuse and 
supply of opioids; (2) helping individuals recover from opioid 
addiction and supporting the families of these persons; and (3) 
establishing innovative and long-term solutions to the crisis. Section 
2005 of the SUPPORT Act establishes a new Medicare Part B benefit for 
opioid use disorder (OUD) treatment services furnished by opioid 
treatment programs (OTPs) beginning on or after January 1, 2020. Form 
Number: CMS-855B (OMB control number: 0938-New); Frequency: Annually; 
Affected Public: Individuals and households; Number of Respondents: 
327,696; Total Annual Responses: 327,696; Total Annual Hours: 522,041. 
(For questions regarding this collection contact Kim McPhillips at 410-
786-5374.)
    3. Type of Information Collection Request: Revision with change of 
a currently approved collection; Title of Information Collection: 
Contract Year 2021 Plan Benefit Package (PBP) Software and Formulary 
Submission; Use: Under the Medicare Modernization Act (MMA), Medicare 
Advantage (MA) and Prescription Drug Plan (PDP) organizations are 
required to submit plan benefit packages for all Medicare beneficiaries 
residing in their service area. The plan benefit package submission 
consists of the Plan Benefit Package (PBP) software, formulary file, 
and supporting documentation, as necessary. MA and PDP organizations 
use the PBP software to describe their organization's plan benefit 
packages, including information on premiums, cost sharing, 
authorization rules, and supplemental benefits. They also generate a 
formulary to describe their list of drugs, including information on 
prior authorization, step therapy, tiering, and quantity limits.
    CMS requires that MA and PDP organizations submit a completed PBP 
and formulary as part of the annual bidding process. During this 
process, organizations prepare their proposed plan benefit packages for 
the upcoming contract year and submit them to CMS for review and 
approval. CMS uses this data to review and approve the benefit packages 
that the plans will offer to Medicare beneficiaries. This allows CMS to 
review the benefit packages in a consistent way across all submitted 
bids during with incredibly tight timeframes. This data is also used to 
populate data on Medicare Plan Finder, which allows beneficiaries to 
access and compare Medicare Advantage and Prescription Drug plans. Form 
Number: CMS-R-262 (OMB control number: 0938-0763); Frequency: Yearly; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 672; Total Annual Responses: 7,264; Total Annual Hours: 
67,368. (For policy questions regarding this collection contact Kristy 
L. Holtje at 410-786-2209.)

    Dated: January 9, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2020-00426 Filed 1-13-20; 8:45 am]
BILLING CODE 4120-01-P